MICHIGAN PODIATRIC MEDICAL ASSOCIATION Volume 30 • … Summer PROFILES WEB.pdf · a half-day workshop specifically aimed at the ICD-10 ... (our sense of humor had nothing to do

1www.mpma.org

PROFILESVolume 30 • Issue 2MICHIGAN PODIATRIC MEDICAL ASSOCIATION

MICHIGAN’S FOOT AND ANKLE PHYSICIANS

The Leaders Behind the PartnershipMedical Associations Working Together Karen Burgess, CEO

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Podiatric Profiles is the official publication of the Michigan Podiatric Medical Association (MPMA). MPMA assumes no responsibility for the statements, opinions and/or treatments appearing in the articles under the author’s name. This information is not a substitute for legal or medical advice. All Podiatric Profiles content is approved by the Editorial Committee. For editorial or business information and advertising rates call 800/968-6762.

Michigan Podiatric Medical Association1000 W. St. Joseph Hwy., Ste. 200Lansing, Michigan 48915800/968-6762 • Fax 517/485-9408www.mpma.org

INSIDE

MPMA Executive BoardPresident, Dr. Ali Safiedine [email protected]

President Elect, Dr. Crystal Holmes [email protected]

Secretary, Dr. Joyce Patouhas [email protected]

Treasurer, Dr. Bruce Jacob [email protected]

Immediate Past President,

Dr. Scott Hughes [email protected]

The MPMA home office staff is available for contact any time

Derek E. DallingExecutive Director

Matthew SolakDeputy Executive Director

Jason WadagaDirector of Government Affairs

Christian H. KindsvatterSpecial Projects

Geri RootDirector of Events

Michelle D. DishawMembership Director

Denise A. StoneFinancial Manager

Sara AdamsEvents Coordinator

Alicia VazquezGraphic Designer

Alyssa HansenAdministrative Assistant

3www.mpma.org

Kids Off on the Right Foot

The MPMA Legislative Front

Michigan Suffering from Brain Drain

Great Leaders Build Strong Partnerships

Google Launches At-a-Glance Search for Medical Conditions

Michigan Submits Second Medicaid Waiver to CMS

Classified Advertising

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I read recently that according to a survey by the Workgroup for Electronic Data Interchange, less than 50 percent of physicians feel prepared for ICD-10 implementation on October 1. With that October deadline looming, the MPMA organized and hosted a half-day workshop specifically aimed at the ICD-10 implementation and what it will mean for our profession.

Those who attended raved about the seminar, and the survey results from those who attended indicate the same thing. The MPMA hit a real homerun, and I would like to thank Drs. Jim Christina, Mike King, John Guiliana and Michigan’s own Jeff Frederick for speaking during that seminar.

Of course, the MPMA also needs to thank Dr. Crystal Holmes for spearheading the effort. Dr. Holmes and the MPMA Conference Committee continue to work hard at producing the highest quality education with the best speakers and most relevant topics. The most recent ICD-10 seminar certainly is evidence of that goal.

None of your MPMA leaders can do this nor be successful without your input. We rely on the MPMA membership to alert us to questions and concerns so that we can design the MPMA conferences and seminars to best meet your needs. With that in mind, if you have ideas for speakers, topics or areas of concern, I respectfully request that you share it with the MPMA or one of your MPMA leaders.

We are here to serve and represent you to ensure that our profession continues to excel. Together we will tackle the ICD-10 implementation.

Thank you for the continued privilege of serving as your President of our beloved MPMA. t

M E S S A G E F R O M T H E P R E S I D E N T

Dr. Ali SafiedineMPMA President

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Kids Off on the Right Foot Proper fitting, supportive shoes

are necessary to maintain good foot health, especially in growing children. On Friday, July 10, the MPMA donated over 200 pair of athletic shoes to children in the programs of Wellspring Lutheran Services.

“Children’s feet change quickly as they age,” said Dr. Jodie Sengstock, MPMA Director of Professional Relations. “Improper fitting shoes can aggravate the feet and create sores and other problems. Our goal is to educate the public on how and why to have children in proper fitting footwear and to help some in-need children start the year off on the ‘right foot’.”

This is the third year the MPMA has partnered with Wellspring Lutheran Services for shoe distribution. The nonprofit organization supports children in the foster care system, as well as those youth that have had abusive backgrounds or may need more support in making the transition to adulthood. The organization has support campuses across the state.

The MPMA delivered all of the shoes to the New Direction Campus of Wellspring in Farmington Hills and Dr. Sengstock fit a few of the children with new shoes. The Farmington Hills facility will ship the shoes to other locations where the shoes are needed. t

Dr. Jodie Sengstock fitting shoes

(L to R) Dr. Jodie Sengstock, MPMA Director of Professional Relations; Marie Tolen, Director at Wellspring Lutheran Services; Terry Hopkins,

Director of Operations, New Directions Campus

7www.mpma.org

The MPMA Legislative Front

The Michigan Legislature spent the early weeks of the summer trying to address the road funding shortfall that has taken center stage at the state Capitol since the failure of Proposal 1 in May.

The Michigan House of Representatives passed its plan in early June and the Michigan Senate followed suit in early July. While the two plans contain some of the same components, the two chambers are still far apart on where all of the revenue will come from to fund roads. Estimates on how much additional revenue is needed to properly fund the roads and bridges in our state vary from $1.2 billion to as much as $2 billion annually.

Negotiations on a final version are ongoing and it’s anticipated that they will go into the fall.

MI HOUSE OF REPRESENTATIVES ROAD FUNDING PLAN

The Michigan House of Representatives road funding plan would raise roughly $1.1 billion annually for Michigan roads through a combination

of cuts, increased revenue and shifting of funds within the state budget.The highlights include:• Increasing the 15-cent-per-gallon tax on diesel

fuel to match the 19-cent-per-gallon tax on regular fuel. Both will increase with inflation.

• Allocating a portion of sales and income tax revenues from fuel sales that don’t go to schools or local governments to roads.

• Requiring longer road warranties and competitive bidding on local and state road projects.

• Eliminating the Earned Income Tax Credit (EITC).

• Shifting $135 million from the Michigan Economic Development Corporation (MEDC) to roads.

• Increasing registration fees for electric vehicles by $100 a year and by $30 a year for hybrid vehicles that get at least 40 miles per gallon.

continued on page 8


MI SENATE ROAD FUNDING PLANThe Michigan Senate road funding plan would

raise roughly $1.5 billion annually for Michigan roads. The most controversial parts of the package required tie-breaking votes from Lt. Governor Brian Calley after the chamber was deadlocked with 19 “yes” votes and 19 “no” votes.The highlights include:• Raising the gas tax from 19 cents to 23 cents

on Oct. 1, 2015; to 27 cents on Jan. 1, 2016, and 34 cents on Jan. 1, 2017. This would raise $475 million more for the roads in Fiscal Year (FY) 2016, $733 million in FY 2017 and $822.1 million in FY 2018, according the Senate Fiscal Agency (SFA).

• Dedicating $350 million in general fund money to the Michigan Transportation Fund in 2017 and $700 million a year beginning in 2018.

• Increasing registration fees for electric vehicles by $100 a year and by $30 a year for hybrid vehicles that get at least 40 miles per gallon.

• Requiring longer road warranties and competitive bidding on local and state road projects.The Senate version differs most notably from the

House version at this point in its use of the gas tax to generate revenue. The Senate version also did not include the elimination of the EITC and the shift of funds from the MEDC to roads.

MICHIGAN LEGISLATURE FINALIZES FY 2015-16 DEPARTMENT OF COMMUNITY HEALTH BUDGET

The Michigan Legislature finished up the fiscal year 2015-16 budgets in mid-June. Included in the omnibus budget bill was funding for the Michigan Department of Health and Human Services (MDHHS). The total budget was nearly $20 billion, with $3.2 billion of that coming from the state’s general fund, $2.1 billion coming from restricted funds and roughly $14 billion coming from the federal government.

Some of the highlights in the MDHHS portion of the budget include:

• Graduate Medical Education (GME), OB-GYN pool and Rural Hospital pool funding mechanism: The legislature was able to keep these line items by reducing general fund (GF) dollars for Medicaid reimbursement rates for hospitals and back filling it by raising the Quality Assurance Assessment Program, or QAAP. This is expected to be a one-time fix. ($92.9 million reduction in GF).

• GME: Besides keeping the same funding level, the budget included additional language around the costs of the program and requiring hospitals to report quality information to a third-party, non-profit organization.

• Healthy Kids Dental: Expanded to Wayne, Oakland and Kent counties for kids 0-12 years of age but delayed the program until July 2016 ($12.7 million).

• Immunizations: $500,000 is eligible for a 4 to 1 PRIVATE match for education around vaccines, particularly for ages 0-2 where Michigan’s vaccination rates are below 70%.

• Pharmaceutical Carve Out for HMOs: State is moving to a common formulary for Medicaid drugs estimated to save the state $18.7 million in GF dollars.

• Hospice Funding: $2.5 million in one-time funding for Hospice Room and Board.

• Drug Policy Initiatives: $1.5 million to combat prescription drug addiction and abuse.

• Health Endowment Fund: Requires the MI Health Endowment Fund to work with the department to coordinate grants.

• Autism Funding: Reduces funding to $2.5 million for universities, but requires universities to compete for those dollars through a grant process.“This was a difficult budget year and the focus

right now is on the roads. We were able to make sensible cuts that protect our most vulnerable populations while driving more transparency and quality of service in health care,” said Senate MDHHS Appropriations Chairman Sen. Jim Marleau.

continued from page 7

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MICHIGAN Suffering from Brain Drain

The State of Michigan is experiencing Brain Drain.

Due to the present state of the economy, many

Michiganders are moving out of state. I think there is a

need for more residency programs in order to attract the

growing number of medical students.”

— Dr. Joyce Patouhas, Director, Podiatric Residency Program, St. John Hospital and Medical Center

Dr. Joyce Patouhas

Dr. Marshall Solomon

Podiatric medicine residencies are in a unique

position as they are currently considered above

the “CAP” for residency positions. More programs would

provide greater opportunity for podiatric graduating

residents to find opportunities for future employment in

the state of Michigan.”

— Dr. Marshall Solomon, Director, Podiatric Residency Program, Botsford Hospital

11www.mpma.org

With a record number of medical schools and students in the State of Michigan, it might be perplexing to learn that many parts of Michigan are facing a growing doctor shortage.Why?

The answer seems easy. Michigan has long suffered what many have called a brain drain. According to the Detroit Free Press, college educated Michiganders between the ages of 22 and 34 are fleeing the state in droves to find jobs elsewhere. In 2012 alone, Michigan lost 28,000 college-educated 22- to 34-year-olds — a loss of 2.2% in this demographic. And 2012 wasn’t an anomaly. Between 2001 and 2012, Michigan consistently lost college-educated young people, with 2004 the only exception.

But that doesn’t seem to be the whole picture. While Michigan’s brain drain can be attributed to a faltering economy and a lack of work and prospects, Michigan’s physician shortage is ongoing. It would ultimately work to a future doctor’s advantage to practice in an underserved area. Besides, doctor shortages are not simply a problem in Michigan, but in the vast majority of states. What, then, is the issue?

According to Kaiser Health News, “It’s the perfect storm of an aging population needing more primary care, coinciding with a growing number of doctors retiring.”

Of the 29,800 physicians in the State of Michigan, over a quarter are over 60. But while 25% of the state’s doctors prepare to retire, 18.2% of Michigan’s population already has insufficient access to primary care physicians, according to the Citizens Research Council of Michigan. This looks more like a looming disaster than a current cause.

The real cause seems to be linked to the Federal cap on residency funding via Medicare. Since the cap was set in 1996 under the Balanced Budget Act, the number of residency positions throughout the country experienced a short freeze. This was followed by a gradual increase in primary care residencies, as well as for residencies in higher-billing fields such as anesthesiology, emergency medicine, plastic surgery, general surgery, thoracic surgery and vascular surgery.

With the number of medical schools and students

in Michigan growing, and the number of residencies relatively unchanged since 1996, it’s fairly clear to see why Michiganders are looking elsewhere for residency opportunities. And once they find a residency elsewhere, that means moving, settling in for five or so years, and establishing a life outside of Michigan. Faced with moving back to Michigan and staying put, many new doctors would probably choose the latter.

While Michigan argues over the cause of its physician shortage, many states are working to address this problem. The state of Texas, for example, is exploring the creation of several new teaching hospitals, as well as putting forward tens of millions in additional state money to train residents and retain Texas medical graduates.

Michigan restored the cuts to its residency programs earlier this year, but that is a far cry from addressing the underlying shortage. A main goal of the Affordable Care Act was to expand insurance coverage to all Americans. Beginning in 2014, most Individuals became required to carry at least a minimum level of health insurance or face a tax penalty.

Because primary care physicians are the most common entry point into the health system, there will be a higher need for this specialty, adding to the already present shortage. Researchers estimate that 8,279 new primary care physicians will be needed nationally by 2025 to meet the need created by this expanded coverage. Combined with the aging crop of current primary care physicians, as well as the limited number of Michigan residencies, the next few decades are beginning to look like a perfect storm for physician shortages in the State of Michigan, as well as the rest of the country.

Significant amounts of money need to be freed up and dedicated to creating more residency opportunities for Michigan’s growing class of medical students. Partnerships with private institutions may help create more hospitals capable of teaching residents. Of course, both options take years to implement. Until then, Michigan’s growing classes of medical graduates are going to look outside the state to begin their careers, and Michigan’s underserved areas will only continue to be neglected. t


Great Leaders Build Strong Partnerships

In recent years, the Michigan Podiatric Medical Association formed valuable partnerships with allied organizations led by some very unique and talented people. These leaders often are pioneers in the ever-changing landscape of health policy, not only in Michigan, but in the United States.

In the last edition of the Profiles magazine, we focused on the Michigan Osteopathic Association and the Michigan State Medical Society. The following article continues our series, highlighting another leader the MPMA calls an ally and a friend.

Michigan Dental Association: Demonstrating Zeal For Finding Solutions

The Michigan Dental Association was founded by 13 dentists in Detroit in 1856 – three years before

the American Dental Association. Today, MDA represents 75% of the dentists practicing in the state of Michigan, more than 5,500 dentists overall. MDA members are also members of the American Dental Association, the nation’s leading oral health authority, as well as one of 26 component dental societies in the state.

About MDA CEO/Executive Director Karen Burgess

Karen Burgess graduated from Illinois State University with a degree in psychology before receiving her MBA in marketing from the University of Wisconsin-Madison. After 17 years with the American Dental Association as senior director for membership marketing, she accepted the position of executive director with the Michigan Dental Association.

It was an exciting and challenging change for her.

“I was looking for a broader role,” said Burgess, “but I was leaving behind all my organizational know-how. I felt that I was going from this smoothly oiled system, after having hired and trained such a wonderful team and established such strong working relationships, to jumping into the unknown.”

What eased the transition in 2014 was the MDA’s “effective” reputation within organized dentistry. She quickly realized that the team environment already existed, which allowed her to transition into the role very quickly and easily.

“The staff team was strong overall and the leadership very strategically focused. I found that if you’re flexible and can adapt, you can make that magic happen

Funding is still the number one barrier

to care — medical care and definitely oral

health care. We’re fortunate in our state that

Governor Snyder sees the value in dental care.”

—Karen Burgess, CEO, Michigan Dental Association


13www.mpma.org

Karen Burgess, CEOMichigan Dental Association


again,” said Burgess. She’s proud that in less than two years as CEO, the MDA has made significant strides towards its strategic plan goals related to membership growth, effective governance and leadership development, helping members succeed, and serving as Michigan’s authority on oral health.

On the personal side, one of the first things Burgess will tell you is that she’s big fiction fan, both reading it and writing it. Her preferences there are reflected in her work life, as well.

“My favorite books to read are where the people change, the characters grow as a result of their experience,” said Burgess. In grade school, a teacher’s assignment spurred her to ask her mother for advice on how to write a story. She remembers being told, “Just write what happens in a day.”

“But I knew it had to be bigger than that, it had to be better. You had to see what happened internally, not just externally. What happens in their life has to change the character.”

That same developmental arc is one of the joys of her position

as CEO. “Helping people make a bigger contribution, while getting really excited about their job, is great.” Building an effective team is a priority.

Burgess says she’s happiest when she is with her family, saying her husband of nearly 40 years is still the most interesting guy she knows. Her elder son is currently a Ph.D. candidate in Philosophy at the Marquette University in Milwaukee, and the younger is the music director of a children’s theater company in Oak Park, Illinois.

In terms of health care policy, Burgess says if she had to pick one thing she could change, it would be to create a system where there isn’t constant financial pressure.

“Funding is still the number one barrier to care — medical care and definitely oral health care,” said Burgess. “We’re fortunate in our state that Governor Snyder sees the value in dental care and that, this year, Michigan expanded Healthy Kids Dental to the final three counties for kids up to 12.”

Thanks to Healthy Kids Dental, children covered by the program now

see dentists at about the same rate as children who have commercial dental insurance. “When expansion is complete in Wayne, Oakland and Kent Counties for kids 13 to 21, we’ll know that every Medicaid-eligible child in the state is covered.”

Burgess also stressed the importance of educating people about value of good oral health. “Oral health literacy is the next big barrier to good oral health. Too many people think dental care is only important if you have a toothache.”

The MDA has made a big commitment to increasing awareness and understanding. Members pay an annual assessment of $300 each – about a million dollars in total – to support its “What Would Your Mouth Say About You” advertising campaign on TV, online, billboards, and in social media in order to let people know about the important connection between oral health and overall health and well-being. The MDA has been doing public outreach through advertising for 30 years, but it’s more important than ever given the direction of health care today.

“Looking ahead, I think we’re


Hundreds turned out for free dental care at the MDA’s Mission of Mercy event in Big Rapids in 2014

15www.mpma.org

How Well Do You Know Your Practice? What Are Your Strengths and Your Weaknesses?

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Google has recently added a new feature to its dominant search engine: At-a-glance info cards on over 400 medical conditions including podiatric related conditions.

Just over 5% of Google’s 100 billion monthly searches are health related terms, so it comes as no surprise that Google is now making it possible to get information right from the results page, without wading through the millions of result each search provides.

For example, Googling “athlete’s foot” brings up a card to the right side of the search results with a very brief description, noting that it is “very common,” that there are over 3 million cases in the US a year, and how easily it is spread. You can then click a drop down box for more information or select the “symptoms” or “treatments” tabs, the former of which notes that athlete’s foot is generally self diagnosable, and the latter that it is commonly self treated. The treatments tab also recommends what doctors you should consult if you choose to, such as a podiatrist.

According to USA Today, the Mayo Clinic reviewed the accuracy of all 400 conditions for which Google provides info cards. An average of 11 doctors vetted each fact and condition.

Google’s vice president in charge of search results, Amit Singhal, said the role of the new chart is not to play doctor, but to facilitate more informed patient-physician conversations, or help patients determine whether they need to see a healthcare provider at all.

Most of the search results also come with custom illustrations created specifically for Google because, as Singhal told USA Today, “A picture is worth a thousand words, especially when you’re on mobile.”

Singhal also hinted at the true purpose of the feature, which, while currently only available in the United States, is actually meant to help developing countries where patients can’t run to the doctor just as a precaution.

“When you’re a parent in India or Brazil or sub-Saharan Africa, and your child is sick and all you might have for help is your smartphone, this information might really matter,” Singhal said. t

GOOGLE LaunchesAt-a-Glance Search for Medical Conditions

The Internet can be

full of incorrect information

on medical conditions, so

I am pleased the Google

medical conditions have been

reviewed by doctors. I am all

for educating the public, as

the educated patient is the

best patient. The downfall I

can see is that self-diagnosing

the wrong problem can lead

to wrong treatment choices.”

— Dr. James Hirt, MPMA Board Representative

of Northeastern Division

Dr. James Hirt

17www.mpma.org

18 MICHIGAN PODIATRIC MEDICAL ASSOCIATION18 MICHIGAN PODIATRIC MEDICAL ASSOCIATION

Michigan submitted a second Medicaid waiver to CMS - meeting the September 1 deadline - in order to continue to expand the state’s Medicaid program. If the federal government fails to approve the waiver, federal Medicaid dollars that would go toward paying for the program until the 2019-2020 fiscal year would no longer be available, making the expansion

unaffordable for Michigan. As a result, the state would have to opt out of the Medicaid expansion, which has cut the state’s uninsured rate of 14% by half since 2012.

Michigan’s Medicaid expansion was a slightly reformed version of what the Affordable Care Act required. A first waiver was needed before the program could go into effect in 2014, and a second waiver needs to be approved by September of this year.

The first change requiring a waiver was the state law establishing individual health savings accounts for adult recipients, and the requirement for them to pay up to 5 percent of their annual income toward the government health insurance program that Michigan runs through managed care plans. Participants can reduce their monthly premiums and copays if they practice healthy behaviors, starting with completing annual health risk assessments to identify smokers, substance abusers, and those who are overweight or whose vaccinations are

not up to date. The second waiver, according to

Crain’s Detroit Business, would apply to a rule requiring adults who have been enrolled for four years to buy private insurance through the health exchange or pay higher copays and contribute more to health savings accounts — a maximum 7 percent of income instead of the current 5 percent. Co-pays could be reduced, as they are now, if participants submit to an annual health risk assessment to flag obesity, alcohol use and smoking.

If the waiver is approved by the Obama administration, the federal government would cover the entire cost of the expansion until fiscal year 2019-2020, when the state of Michigan would begin to take over a portion of the costs, starting with 10% of the overall bill.

If the waiver is not approved, over 600,000 people covered under the Medicaid expansion would cease to be eligible in April 2016. CMS will respond to the waiver in December. t

Michigan Submits Second Medicaid Waiver to CMS

Governor Rick Snyder

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going to see more integrated care...health care providers are working more closely together, especially dentistry and medicine,” said Burgess. “We’re going to see everything become more outcome oriented. The value is in the impact, more than the procedure.”

A Profession of GiversEnsuring access to care for all

of Michigan’s residents is not just a policy position for the MDA; it’s something their members work toward on a daily basis. A survey of members revealed that the average amount of free or discounted work performed a year was $62,000 per practice. And outside the office, MDA members continue to try to bring oral health care to those who have not seen a dentist in a long time, if ever. The MDA-sponsored Mission of Mercy held in 2014 in Big Rapids is a good example. The MOM, as it is known, provides free dental care by volunteers that include dentists, dental team members, and others. Associated expenses are underwritten by donations, and almost a million dollars in care

was provided. Need is so great that patients line up early.

“We had a guy who got in line, not the night before the MOM, but the night before that,” said Burgess. “He had a low-wage job, needed extensive work done, and even helped us set up for the two-day event. He went through the whole day, got the care he needed, and one of the news stations asked if they could film when he looked in the mirror for the first time after the procedures. He declined because he felt that was private and was worried he might cry.

“But here’s the great thing – he had the care he needed, he went home, and the next day, he was back to volunteer.” The next MOM will be held in June 2016 at Macomb Community College in Warren.

A major problem with dental care, according to Burgess, is people neglect their oral health to the point of where they can’t take the pain any longer and go to the emergency room. There, what could have cost $300-$400 in the dental office, becomes $3,000-$4,000 in the emergency room. If oral health had

been maintained gradually prior to that, with preventative care, exams, fluoride, sealants and necessary restorative care, the emergency visit would have been avoided, and money saved in the long run.

MDA Legislative PrioritiesIn addition to expansion of

Healthy Kids Dental – which provides dental benefit coverage to Medicaid-eligible children ages 0-21 – to every county in the state, the MDA is working to address Adult Dental Medicaid. Reimbursement levels are so low that dentists cannot even cover their practice overhead, which limits the number of dentists willing to participate in the program.

Another priority is the elimination of unnecessary regulation related to dental CT scanners. There are only two states that require a Certificate of Need process for this equipment, an important tool for many dentists.

The MDA is also working with other health care associations – including the Michigan Podiatric Medical Association – to address insurance company take-backs. Currently, insurers can go back as many years as they wish to deny a previously paid claim and demand the provider give the money back.

Building strong relationships, Burgess believes, is the key to success, whether it is leading an effective team, creating public policy solutions that work, or developing successful advocacy initiatives. And the key to strong relationships is integrity.

“I had a boss early in my career who told me to always do the right thing – never do anything you’d be embarrassed to see on the front page of the newspaper! But I don’t think of the newspaper headline, I think of that boss, and the integrity that he demonstrated every day. When values guide your action, you are building trust.” t

The MDA’s “What Would Your Mouth Say About You” advertising campaignreinforces the connection between oral health and overall health

21www.mpma.org

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GOVERNOR SNYDER ANNOUNCES APPOINTMENT, RE-APPOINTMENTS TO PODIATRY BOARD

In Mid-July, Governor Rick Snyder announced an appointment and two reappointments to the Michigan Board of Podiatric Medicine and Surgery.

Amy Kaufman, PA-C, of Ypsilanti was appointed to fill the physician assistant spot on the board. Dr. Cyrus Farrehi of Grand Blanc was reappointed to fill one of the public member spots on the board.

Dr. Kevan Kreitman of Birmingham was also reappointed to fill one of the Podiatry spots on the board. Dr. Kreitman is a partner at Shores Podiatry, which has several locations in Southeast Michigan. He is also a past president of the Michigan Podiatric Medical Association and serves as the PAC Chairman for Michigan within the American Podiatric Medical Association.

“These appointees will add great value to this board and I appreciate their willingness to serve,” Snyder said.

The Michigan Board of Podiatric Medicine and Surgery was originally formed with the enactment of Public Act 115 of 1915. On September 30, 1978, this authority was transferred to the Public Health Code, Public Act 368 of 1978, as amended.

The Michigan Board of Podiatric Medicine and Surgery consists of 9 voting members: 5 podiatrists, 1 physician’s assistant and 3 public members. t

I am honored to serve another

four years on the board. My

fellow board members, the licensing

staff, and the lawyers from the Attorney

General’s office with whom I work are all

fantastic.”

— Dr. Kevan Kreitman

Dr. Kevan Kreitman


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MPMA Presidents—Advancing Podiatric Medicine1. J. F. Martin, DPM . . . . . . . . . 1914-15*2. E. F. Saunders, DPM . . . . . . . . 1915-16*3. J. F. Martin, DPM . . . . . . . . . 1916-17*4. George Riegel, DPM. . . . . . . . 1920-23*5. M. S. Stevens, DPM . . . . . . . . 1923-24*6. Louis Weiss, DPM . . . . . . . . . 1924-25*7. Owen Fowler, DPM . . . . . . . . 1925-27*8. Harry Bronston, DPM . . . . . . . 1927-29*9. Roger Quick, DPM . . . . . . . . . 1929-30*10. Joseph Jacobs, DPM . . . . . . . 1930-31*11. Roger Quick, DPM . . . . . . . . . 1931-32*12. Joseph Jacobs, DPM . . . . . . . 1932-33*13. Otto Weiss, DPM. . . . . . . . . . 1933-34*14. L. A. Frost, DPM . . . . . . . . . . 1935-36*15. H. C. Simons, DPM . . . . . . . . 1937-38*16. Alfred W. Bass, DPM . . . . . . . 1938-39*17. Ralph Fowler, DPM . . . . . . . . 1939-40*18. Morton Hack, DPM . . . . . . . . 1940-41*19. Joseph Kastead, DPM . . . . . . . 1941-42*20. L. C. Kreis, DPM . . . . . . . . . . 1942-43*21. Gordon Long, DPM . . . . . . . . 1943-44*22. A. F. Antzak, DPM . . . . . . . . . 1944-45*23. T. E. Ingersoll, DPM . . . . . . . . 1945-46*24. Walter Jeffrey, DPM . . . . . . . . 1946-47*25. Earl F. Guire, DPM . . . . . . . . . 1947-48*26. H. Ganong, DPM. . . . . . . . . . 1948-49*27. Sheldon Burgess, DPM . . . . . . 1950-51*28. Robert Willoughby, DPM . . . . . 1951-52*29. J. W. Collicutt, DPM . . . . . . . . 1952-53*30. Albert Kalin, DPM . . . . . . . . . 1953-54*31. Earl Kaplan, DPM . . . . . . . . . 1954-55*32. Clinton Withey, DPM . . . . . . . 1955-56*33. Benjamin Stein, DPM . . . . . . . 1956-57*34. Jack Snyder, DPM . . . . . . . . . 1957-58*35. Russell Seeburger, DPM . . . . . 1958-59*36. Donald Borchard, DPM . . . . . . 1959-60*37. David Wright, DPM . . . . . . . . 1961-62*38. Bernard Levin, DPM . . . . . . . . 1962-64*

39. James Simonds Sr., DPM . . . . . .1964-6640. Irvin. O. Kanat, DPM. . . . . . . . 1966-68*41. William Dehart, DPM . . . . . . . 1968-69*42. Mathew Borovoy, DPM . . . . . . 1969-71*43. Frederick Bernstein, DPM . . . . . .1971-7344. Thomas Woodford, DPM . . . . . 1973-74*45. Sanford Rosenfeld, DPM . . . . . .1974-7546. Richard Wallin, DPM . . . . . . . 1975-76*47. William Wagner, DPM . . . . . . . 1976-77*48. Steven Glickman, DPM . . . . . . .1977-7949. Charles Pankratz, DPM . . . . . . .1979-8050. W. Ming Foo, DPM . . . . . . . . 1980-81*51. Glenn Gastwirth, DPM . . . . . . .1981-8252. Carl Fisher, DPM . . . . . . . . . . 1982-83*53. Thomas Jacob, DPM . . . . . . . 1983-84*54. Thomas Abraham, DPM. . . . . . .1984-8555. Michael Schey, DPM . . . . . . . .1985-8656. Eugene Rohacz Sr., DPM . . . . . .1986-8757. Shay Rosenfeld, DPM . . . . . . . .1987-8858. Lawrence Woodhams . . . . . . . 1988-89*59. Shay Rosenfeld, DPM . . . . . . . .1989-9060. Randy Kaplan, DPM . . . . . . . . .1990-9161. Stuart J. Bass, DPM . . . . . . . . .1991-9262. Randy Kaplan, DPM . . . . . . . . .1992-9363. Marc Borovoy, DPM . . . . . . . . .1993-95 64. Thomas Redmond, DPM . . . . . 1995-97*65. Thomas Abraham, DPM. . . . . . .1997-9966. Ingrid Stines, DPM . . . . . . . . .1999-0167. Kevan Kreitman, DPM. . . . . . . .2001-0368. Marc Weitzman, DPM . . . . . . . .2003-0569. Michael Ambroziak, DPM . . . . . .2005-0770. Jeffrey Frederick, DPM . . . . . . .2007-09Note: Elections moved from November to April71. Jodie Sengstock, DPM . . . . . . .2009-1272. Scott Hughes, DPM . . . . . . . . .2012-1473. Ali Safiedine, DPM . . . . . . . . .2014-16* Deceased

Documents

MICHIGAN PODIATRIC MEDICAL ASSOCIATION Volume 30 • … Summer PROFILES WEB.pdf · a half-day workshop specifically aimed at the ICD-10 ... (our sense of humor had nothing to do